<!DOCTYPE html>
<html>
    <head>
        <meta http-equiv="Content-Type" content="text/html; charset=UTF-8" />
        <title>Üye Ol</title>
        <link href="stylesheets/uyeol.css" rel="stylesheet" type="text/css" />
    </head>

    <body>
        <div id="tasiyici">
            <div id="uye-ol">
                <p><span class="baslik">Üyelik Bilgileri</span></p>
                <form action="uyekaydet.php" class="form" method="post">
                    <table border="0">
                        <tr>
                        <p>
                        <td>Adınız</td>
                        <td>:</td>
                        <td><input class="input" name="adi" onblur="if (value =='') {value = 'Adınız'}" onfocus="if (value == 'Adınız') {value =''}" type="text" value="Adınız" /></td>
                        </p>
                        <td width="25" style="color:#FF0000;">*</td>
                        <p>
                        <td>Soyadınız</td>
                        <td>:</td>
                        <td><input class="input" name="soyadi" onblur="if (value =='') {value = 'Soyadınız'}" onfocus="if (value == 'Soyadınız') {value =''}" type="text" value="Soyadınız" /></td>
                        </p>
                        </tr>

                        <tr>
                        <p>
                        <td>E-posta</td>
                        <td>:</td>
                        <td><input class="input" name="eposta1" onblur="if (value =='') {value = 'E-Posta'}" onfocus="if (value == 'E-Posta') {value =''}" type="text" value="E-Posta" /></td>
                        </p>
                        <td width="25" style="color:#FF0000;">*</td>
                        <p>
                        <td>E-posta (tekrar)</td>
                        <td>:</td>
                        <td><input class="input" name="eposta2" onblur="if (value =='') {value = 'E-posta (tekrar)'}" onfocus="if (value == 'E-posta (tekrar)') {value =''}" type="text" value="E-posta (tekrar)" /></td>
                        </p>
                        </tr>

                        <tr>
                        <p>
                        <td>Şifreniz</td>
                        <td>:</td>
                        <td><input class="input" name="sifre1" type="password" /></td>
                        </p>
                        <td width="25" style="color:#FF0000;">*</td>
                        <p>
                        <td>Şifreniz (tekrar)</td>
                        <td>:</td>
                        <td><input class="input" name="sifre2" type="password" /></td>
                        </p>
                        </tr>

                        <tr>
                        <p>
                        <td>Doğum Tarihi</td>
                        <td>:</td>
                        <td>
                            <select name="dogumtarihigun">
                                <option selected="selected">Gün</option>
                                <option value="01">01</option>
                                <option value="02">02</option>
                                <option value="03">03</option>
                                <option value="04">04</option>
                                <option value="05">05</option>
                                <option value="06">06</option>
                                <option value="07">07</option>
                                <option value="08">08</option>
                                <option value="09">09</option>
                                <option value="10">10</option>
                                <option value="11">11</option>
                                <option value="12">12</option>
                                <option value="13">13</option>
                                <option value="14">14</option>
                                <option value="15">15</option>
                                <option value="16">16</option>
                                <option value="17">17</option>
                                <option value="18">18</option>
                                <option value="19">19</option>
                                <option value="20">20</option>
                                <option value="21">21</option>
                                <option value="22">22</option>
                                <option value="23">23</option>
                                <option value="24">24</option>
                                <option value="25">25</option>
                                <option value="26">26</option>
                                <option value="27">27</option>
                                <option value="28">28</option>
                                <option value="29">29</option>
                                <option value="30">30</option>
                                <option value="31">31</option>
                            </select> / 
                            <select name="dogumtarihiay">
                                <option selected="selected" value="">Ay</option>
                                <option value="01">01</option>
                                <option value="02">02</option>
                                <option value="03">03</option>
                                <option value="04">04</option>
                                <option value="05">05</option>
                                <option value="06">06</option>
                                <option value="07">07</option>
                                <option value="08">08</option>
                                <option value="09">09</option>
                                <option value="10">10</option>
                                <option value="11">11</option>
                                <option value="12">12</option>
                            </select> / 
                            <select name="dogumtarihiyil">
                                <option selected="selected" value="">Yıl</option>
                                <option value="2007">2007</option>
                                <option value="2006">2006</option>
                                <option value="2005">2005</option>
                                <option value="2004">2004</option>
                                <option value="2003">2003</option>
                                <option value="2002">2002</option>
                                <option value="2001">2001</option>
                                <option value="2000">2000</option>
                                <option value="1999">1999</option>
                                <option value="1998">1998</option>
                                <option value="1997">1997</option>
                                <option value="1996">1996</option>
                                <option value="1995">1995</option>
                                <option value="1994">1994</option>
                                <option value="1993">1993</option>
                                <option value="1992">1992</option>
                                <option value="1991">1991</option>
                                <option value="1990">1990</option>
                                <option value="1989">1989</option>
                                <option value="1988">1988</option>
                                <option value="1987">1987</option>
                                <option value="1986">1986</option>
                                <option value="1985">1985</option>
                                <option value="1984">1984</option>
                                <option value="1983">1983</option>
                                <option value="1982">1982</option>
                                <option value="1981">1981</option>
                                <option value="1980">1980</option>
                                <option value="1979">1979</option>
                                <option value="1978">1978</option>
                                <option value="1977">1977</option>
                                <option value="1976">1976</option>
                                <option value="1975">1975</option>
                                <option value="1974">1974</option>
                                <option value="1973">1973</option>
                                <option value="1972">1972</option>
                                <option value="1971">1971</option>
                                <option value="1970">1970</option>
                                <option value="1969">1969</option>
                                <option value="1968">1968</option>
                                <option value="1967">1967</option>
                                <option value="1966">1966</option>
                                <option value="1965">1965</option>
                                <option value="1964">1964</option>
                                <option value="1963">1963</option>
                                <option value="1962">1962</option>
                                <option value="1961">1961</option>
                                <option value="1960">1960</option>
                                <option value="1959">1959</option>
                                <option value="1958">1958</option>
                                <option value="1957">1957</option>
                                <option value="1956">1956</option>
                                <option value="1955">1955</option>
                                <option value="1954">1954</option>
                                <option value="1953">1953</option>
                                <option value="1952">1952</option>
                                <option value="1951">1951</option>
                                <option value="1950">1950</option>
                                <option value="1949">1949</option>
                                <option value="1948">1948</option>
                                <option value="1947">1947</option>
                                <option value="1946">1946</option>
                                <option value="1945">1945</option>
                                <option value="1944">1944</option>
                                <option value="1943">1943</option>
                                <option value="1942">1942</option>
                                <option value="1941">1941</option>
                                <option value="1940">1940</option>
                                <option value="1939">1939</option>
                                <option value="1938">1938</option>
                                <option value="1937">1937</option>
                                <option value="1936">1936</option>
                                <option value="1935">1935</option>
                                <option value="1934">1934</option>
                                <option value="1933">1933</option>
                                <option value="1932">1932</option>
                                <option value="1931">1931</option>
                                <option value="1930">1930</option>
                                <option value="1929">1929</option>
                                <option value="1928">1928</option>
                                <option value="1927">1927</option>
                                <option value="1926">1926</option>
                                <option value="1925">1925</option>
                                <option value="1924">1924</option>
                                <option value="1923">1923</option>
                                <option value="1922">1922</option>
                                <option value="1921">1921</option>
                                <option value="1920">1920</option>
                                <option value="1919">1919</option>
                                <option value="1918">1918</option>
                                <option value="1917">1917</option>
                                <option value="1916">1916</option>
                                <option value="1915">1915</option>
                                <option value="1914">1914</option>
                                <option value="1913">1913</option>
                                <option value="1912">1912</option>
                                <option value="1911">1911</option>
                                <option value="1910">1910</option>
                            </select>
                        </td>
                        </p>
                        <td width="25"></td>
                        <p>
                        <td>Cinsiyet</td>
                        <td>:</td>
                        <td>
                            <input type="radio" name="cinsiyet" id="male" value="male" />
                            <label for="male">Erkek</label>
                            <input type="radio" name="cinsiyet" id="female" value="female" />
                            <label for="female">Kadın</label>
                        </td>
                        </p>
                        </tr>

                        <tr height="50">
                        <p>
                        <td>Cep Telefonu Numarası</td>
                        <td>:</td>
                        <td><input type="text" maxlength="3" size="3" name="ceptelefonualankodu" /> / <input type="text" maxlength="7" size="14" name="ceptelefonukodu" /></td>
                        </p>
                        <td width="25"></td>
                        <p>
                        <td>Telefon Numarası</td>
                        <td>:</td>
                        <td><input type="text" maxlength="3" size="3" name="telefonalankodu"/> / <input type="text" maxlength="7" size="14" name="telefonkodu" /></td>
                        </p>
                        </tr>

                        <tr>
                            <td colspan="7" align="right">
                                <button class="buton gonder" type="submit">GÖNDER</button>
                            </td>
                        </tr>
                    </table>
                </form>
            </div>
        </div>
    </body>
</html>